Moriah Dawn Miranda, LCSW is a
Social Worker - Clinical based in Carlotta, California. Moriah Dawn Miranda is licensed to practice in California (license number 94640) and her current practice location is
300 Wilder Road, Carlotta, California. She can be reached at her office (for appointments etc.) via phone at
(707) 768-3860.
NPI number for Moriah Dawn Miranda is 1295340115 and her current mailing address is Po Box 7, Carlotta, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1295340115.
Healthcare Provider's Profile
| Full Name | Moriah Dawn Miranda |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
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| Location | 300 Wilder Road, Carlotta, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1295340115
- Provider Enumeration Date: 09/09/2020
- Last Update Date: 09/09/2020
Medical Identifiers
Medical identifiers for Moriah Dawn Miranda such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295340115 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | 94640 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Moriah Dawn Miranda is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Moriah Dawn Miranda, LCSW
Po Box 7,
Carlotta, CA 95528-0007
Ph: (707) 768-3860 | Moriah Dawn Miranda, LCSW
300 Wilder Road,
Carlotta, CA 95528
Ph: (707) 768-3860 |
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